Provider Demographics
NPI:1154683035
Name:BAKER, BARBARA LEIS
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEIS
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:LEIS
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:333 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2224
Mailing Address - Country:US
Mailing Address - Phone:914-922-9333
Mailing Address - Fax:914-922-9336
Practice Address - Street 1:333 PELHAM RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2224
Practice Address - Country:US
Practice Address - Phone:914-922-9333
Practice Address - Fax:914-922-9336
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator